Special Considerations: (must be requested by June 20, 2019 - disability/accessibility need, etc.) Note: Meals are buffet-style in the university dining hall. People can choose foods that meet their dietary needs. (Please be specific about accessibility needs):

Translation needs (ASL, Spanish):

Have you attended an Alternatives Conference previously?
*

Yes No

Would you like to volunteer during the conference? If you check yes you will be contacted about volunteer opportunities.
*

Yes No

T-Shirt Size:
*

How do you identify? Please mark all that apply. (This section is completely voluntary).
*

One-day Registration includes all sessions and three meals on one specific day. Indicate day below.

Refund Policy: Cancellations must be received in writing. If cancellation is requested on or before June 20, 2019 you will receive a full refund, minus a $35-per-person administration processing fee. After June 20, registrations will not be refunded. Registrants who are no-shows for the conference will not receive a refund.

Registrations submitted without payment or a purchase order from the sponsoring organization will not be processed. Payment or a PO is required for registration.

Conference Fee: Includes all workshops, plenary sessions, caucuses, and events. Overnight lodging is not included.

I plan to attend the Monday training and Tuesday Hill day

Yes No

Registration Options
*

Early Bird Registration Fee
$
295.00

Quantity

Early Bird Daily Registration Fee
$
95.00

Quantity

Total
$
0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Group or check registration:

Register 10 people and get a free registration? Email info@ncmhr.org If you would like to pay by check, email info@ncmhr.org for instructions. Or fax registration form to 978-681-6426. Are you interested in an exhibit space or caucus session? Apply at the website: www.alternatives-conference.org